MEDICARE: DR. ROBERT JAY FRIEDMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	ME 69852	FL
2	2084N0400X	Neurology Physician	ME 69852	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31759	OTHER	FL	BCBS PIN

General Provider Information

NPI Number	:	1659465375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAY FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	5600 PGA BLVD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3836
Country	:	US
Telephone Number	:	561-842-7246
Fax Number	:	561-408-0950

Provider Business Practice Location Address
First Line	:	5600 PGA BLVD STE 200
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3836
Country	:	US
Telephone Number	:	561-842-7246
Fax Number	:	561-408-0950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/02/2020

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